Job Number: 123815

Description

RESPONSIBLE FOR: Coordinates and monitors all case management team activities, provides leadership, coaching, and mentoring to Case Management and Social Works staff members. Responsible for providing leadership and direction for social services and transitional care planning / discharge planning to patients (neonate, adolescent, adult, and geriatric) within the acute hospital. Monitors for quality indicators to assure appropriate social and transitional services are provided to patients and families during the weekend.

Provides onside mentoring, orientation and supervision for Case Managers, Social Workers, and Patient Logistics staff. Communicates with charge nurses, physicians, ED staff, and PCC leadership regarding complex discharge planning, transitional care, complex psycho/social or psychiatric cases, high risk cases at risk for readmissions and avoid inappropriate hospital admissions. Monitors performance and outcome indicators for the delivery of effective medical social services and transitional care for the weekends. Provides mediation between the patient, provider, guardians, family members, or the agency, relative to the needs and desires identified by the patient. Assists in identifying training needs fo rhte Case Management programand staff. Supports Case Managers in developing mediation and intervention strategies. Review, monitor, and intervene with LOS cases greater than 7 days. Coordinate various aspects of Case Management services; including reerral, intake, eligibility determination, program planning, monitoring, assessment, and evaluation of needs and services. In partnership with manager, supervise case management and social work staff members. Monitor PCC consult and IM work queues and educate staff acccordingly. Collaborate with post-acute care providers to secure insurance authorization for placement. Performs case management services in-house to develop alternative treatment plans for patiencs. Acts as a liaison with attending physicians, medical providers, state, federal and local agencies, outside vendors, and members. Determines if proposed medical treatment plans meet contract provisions. Assist with Utilization review as indicated. Initiate the transfer of an individual to the other services or terminate services when the patient determines they are no longer required or desired. Assist patients, guardians, and families in maximizing their abilities for self-determination by enabling them and empowering them in decision-making to the greatest extent possible.

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Requirements

MINIMUM EDUCATION REQUIRED:Associates Degree from accredited school of Nursing or Masters in Social Work and current Social Work licensure in the State of Georgia.

MINIMUM EXPERIENCE REQUIRED:Five (5) years of experience in case management, medical social work and transitional care management.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:Registered Nurse (RN) or Licensed Master Social Worker (LMSW) in the State of Georgia.

ADDITIONAL QUALIFICATIONS:Bachelor's degree from accredited school of Nursing preferred.